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In-vivo degradation of poly(carbonate-urethane) based spine implants
Journal article   Open access   Peer reviewed

In-vivo degradation of poly(carbonate-urethane) based spine implants

E. Cipriani, P. Bracco, S. M. Kurtz, L. Costa and M. Zanetti
Polymer degradation and stability, v 98(6), pp 1225-1235
01 Jun 2013
PMID: 24043907
url
https://europepmc.org/articles/pmc3772790View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Physical Sciences Polymer Science Science & Technology
Fourteen explanted Dynesys (R) spinal devices were analyzed for biostability and compared with a reference, never implanted, control. Both poly(carbonate-urethane) (PCU) spacers and polyethyleneterephthalate (PET) cords were analyzed. The effect of implantation was evaluated through the observation of physical alterations of the device surfaces, evaluation of the chemical degradation and fluids absorption on the devices and examination of the morphological and mechanical features. PCU spacers exhibited a variety of surface damage mechanisms, the most significant being abrasion and localized, microscopic surface cracks. Evidence of oxidation and chain scission were detected on PCU spacers by ATR-FTIR. ATR-FTIR, DSC and hardness measurements also showed a slight heterogeneity in the composition of PCU. The extraction carried out on the PCU spacers revealed the presence of extractable polycarbonate segments. One spacer and all PET cords visually exhibited the presence of adherent biological material (proteins), confirmed by the ATR-FTIR results. GC/MS analyses of the extracts from PET cords revealed the presence of biological fluids residues, mainly cholesterol derivatives and fatty acids, probably trapped into the fiber network. No further chemical alterations were observed on the PET cords. Although the observed physical and chemical damage can be considered superficial, greater attention must be paid to the chemical degradation mechanisms of PCU and to the effect of byproducts on the body. (C) 2013 Elsevier Ltd. All rights reserved.

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Polymer Science
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